@layout("/common/_container.html",{js:["/assets/system/basicDeliver/basicDeliver_add.js"]}){

<div class="layui-body-header">
    <span class="layui-body-header-title">添加</span>
</div>

<div class="layui-fluid " style="">
    <div class="layui-card">
        <div class="layui-card-body">
            <form id="basicDeliverForm" lay-filter="basicDeliverForm" class="layui-form model-form" style="max-width: 700px;margin: 30px auto;">
                <input name="id" type="hidden"/>
                <fieldset class="layui-elem-field layui-field-title">
			    	<legend>添加交付信息</legend>
			  	</fieldset> 
                <div class="layui-form-item">
                    <label class="layui-form-label">客户名称<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="customername" name="customername" placeholder="请输入客户名称" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">授权仓库数量<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="empowerwarehouses" name="empowerwarehouses" placeholder="请输入授权仓库数量" type="text" class="layui-input" lay-verify="number" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">授权终端数量<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="empowerterminals" name="empowerterminals" placeholder="请输入授权终端数量" type="text" class="layui-input" lay-verify="number" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">开通时间<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="openingtime" name="openingtime" placeholder="请输入开通时间" type="text" class="layui-input" lay-verify="date" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">到期时间<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="maturitytime" name="maturitytime" placeholder="请输入到期时间" type="text" class="layui-input" lay-verify="date" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">地址</label>
                    <div class="layui-input-block">
                        <input id="address" name="address" placeholder="请输入地址" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">联系人</label>
                    <div class="layui-input-block">
                        <input id="contacts" name="contacts" placeholder="请输入联系人" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">电话</label>
                    <div class="layui-input-block">
                        <input id="tel" name="tel" placeholder="请输入电话" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">邮箱</label>
                    <div class="layui-input-block">
                        <input id="mailbox" name="mailbox" placeholder="请输入邮箱" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">网址</label>
                    <div class="layui-input-block">
                        <input id="website" name="website" placeholder="请输入网址" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">开票信息</label>
                    <div class="layui-input-block">
                        <input id="invoice" name="invoice" placeholder="请输入开票信息" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">账号<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="sysuser" name="sysuser" placeholder="请输入系统管理员账号" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">密码<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="syspassword" name="syspassword" placeholder="请输入系统管理员密码" type="password" class="layui-input" lay-verify="required|psw" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">确认密码<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input name="syspassword2" placeholder="请输入确认密码" type="password" class="layui-input" lay-verify="required|repsw" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">备注</label>
                    <div class="layui-input-block">
                        <input id="nodes" name="nodes" placeholder="请输入备注" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <div class="layui-input-block">
                        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
                        <button class="layui-btn layui-btn-primary" type="button" id="backupPage">&emsp;返回&emsp;</button>
                    </div>
                </div>
            </form>
        </div>
    </div>
</div>

@}